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Survey about ronald reagan, golden gate bridge, pillow, night, sandals and grocery stores.

Begin Survey

1. Do you follow a low-carb diet? Yes No

2. Will you go to the grocery store this week? Yes No

3. Do you plan on performing any community service this week? Yes No

4. Do you run the vacuum (or sweep) your floors every day? Yes No

5. Do you have or use a cellular phone? Yes No

6. Do you sleep with a pillow at night? Yes No

7. Do you keep an umbrella in your car? Yes No

8. Did you graduate from high school? Yes No

9. Do you have road rage? Yes No

10. Do you have a VCR? Yes No

11. Have you ever spent a day at a spa? Yes No

12. Have you ever been less than honest on your income tax return? Yes No

13. Are you involved in volunteerism? Yes No

14. Do you wear sandals/flip-flops in the summer? Yes No

15. Do you know CPR? Yes No

16. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Women blink nearly twice as much as men. - The Golden Gate Bridge was first opened in 1937.

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